Is It Better To Have A Sliding Genioplasty Reversal Soon After The Surgery?

Q: Dr. Eppley, I had a sliding genioplasty recently, but unfortunately the result wasn’t what I expected. My chin doesn’t look like it used to, and I’m really hoping to restore it to its original position. I’m planning a revision about two months after the first surgery.

Do you think a full reversal is possible in a case like mine? And is it generally easier to move the bone back if the revision is done this soon?

I’d really appreciate your opinion. Thank you so much for your time!

A:Thank you for your inquiry and sending your images. What would be helpful to know is:

1) what was your objective in having the sliding genioplasty?

2) What were the exact bony movements that were done?

3) Do you have any before or after x-rays?

Such information is critical in determining whether you should consider a sliding genioplasty reversal, whether it should be subtotal or complete as well as when might be appropriate to do it.

But the most important question is whether you really do ned to reverse it…and that is best unwon 3 to 4 months after the surgery when you are looking at the final result AND you have had some time to adjust to the facial change.

Dr. Barry Eppley

World-Renowned Plastic Surgeon